In Coding
Jan 6th, 2020
Use the MSN to inform patients of their benefits and clarify billing questions. While calling Medicare to explain a patient’s benefits is sometimes better, this is not always the first phone call the patient makes. More likely, the patient calls the provider’s office with questions about their medical bills. Here’s how your practice can use ...
Documentation is your first line of defense for coding and claims payment. The operative report is perhaps the single most important document in a surgical chart. It is the official document that captures what transpired in the operating room. It must support the medical necessity for treating the patient, describe each part of the surgical ...
The clock is ticking on 2021. Yes, we know that it’s not 2020 yet. But a year from now, the way you code evaluation and management (E/M) office visits is going to change completely. For starters, you will be selecting visit levels based only on time or medical decision making (MDM). There’s a lot to ...
When clinical documentation gets overrun with auto-populated data, it’s time to redirect technology to better serve our patients. Medical providers will no longer be required to document the history/medical interview during outpatient/office services in health records starting Jan. 1, 2021, per the 2019 Medicare Physician Fee Schedule (MPFS) final rule. This new policy is supported ...
In Coding
Oct 7th, 2019
Don’t let insufficient documentation lead you astray. How many times has a provider asked you, “What do I need to document to get a 99215?” All too often, medical coders feel they should help their providers understand what elements of documentation are needed to warrant the higher level evaluation and management (E/M) service. Do not ...